Work-Related Asthma

Details

• Personal Author:
  Biggs JJ ; Bohnker BK ; Guidotti TL ; Harber P ; Hegmann KT ; Hyman MH ; Jolly AT ; Kipen HM ; Klees JE ; Pacheco KA ; Thiese MS ; Biggs JJ ; Bohnker BK ; Guidotti TL ; Harber P ; Hegmann KT ; Hyman MH ; Jolly AT ; Kipen HM ; Klees JE ; Pacheco KA ; Thiese MS
• Description:
  Objective: Summarize developed evidence-based diagnostic and treatment guidelines for work-related asthma (WRA). Methods: Comprehensive literature reviews conducted with article critiquing and grading. Guidelines developed by a multidisciplinary expert panel and peer-reviewed. Results: Evidence supports spirometric testing as an essential early test. Serial peak expiratory flow rates measurement is moderately recommended for employees diagnosed with asthma to establish work-relatedness. Bronchial provocation testing is moderately recommended. IgE and skin prick testing for specific high-molecular weight (HMW) antigens are highly recommended. IgG testing for HMW antigens, IgE testing for low-molecular weight antigens, and nitric oxide testing for diagnosis are not recommended. Removal from exposure is associated with the highest probability of improvement, but may not lead to complete recovery. Conclusion: Quality evidence supports these clinical practice recommendations. The guidelines may be useful to providers who diagnose and/or treat WRA. [Description provided by NIOSH]
• Subjects:
  Asthma, Occupational Diagnosis Occupational Health Respiratory Function Tests Safety
• Keywords:
  Clinical Diagnosis Guidelines Occupational Asthma Occupational Medicine Spirometry
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  OSHA Region 8 ; Utah
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Volume:
  57
• Issue:
  10
• NIOSHTIC Number:
  nn:20067355
• Citation:
  J Occup Environ Med 2015 Oct; 57(10):e121-e129
• Contact Point Address:
  Kurt T. Hegmann, MD, MPH, University of Utah Rocky Mountain Center for Occupational and Environmental Health, 391 Chipeta Way, Suite C, Salt Lake City, UT 84108-1294
• Email:
  Kurt.Hegmann@hsc.utah.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Utah
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ac4e0b7f38f3680d9c249f0b0cf07b2d646e5ab1a5ebcb2a5ba31adcc23637b06f1f29ed36e5c3e22f94afffa19ce9bb9f98702e28696ee410b8246293a1a67d
• Download URL:
  https://stacks.cdc.gov/view/cdc/231425/cdc_231425_DS1.pdf
• File Type:
  [PDF - 955.01 KB ]